| NPI | 1285089862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1002264-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS041167) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-12-19 |